Coding Educator

POSITION SUMMARY:

This position provides education to providers to ensure compliance with coding and regulatory guidelines.   Develops and provides onboarding training, as well an on-going training based on audit findings, noted trends and/or changes in coding/documentation updates.  Establishes positive working relationships as the subject matter expert with all parties. Assists Coding Team to complete charging/coding for HOPD clinics. Ensures accurate submission of all coding data for reimbursement purposes. Ensures regulatory compliance and follows all Federal regulations for all payment systems.

POSITION REQUIREMENTS:

Minimum Education

• High School Diploma or equivalent.

Certificate Required:

One of the following Coding Certifications:

• CCS-Certified Coding Specialist
• CPC-Certified Professional Coder

and 

• CPMA-Certified Professional Medical Auditor or ability to obtain within first year of employment.

Minimum Work Experience

• Minimum of 2 years’ experience with E&M coding experience required.
• Strong knowledge of E&M regulations and CMS Documentation Guidelines. 
• Strong organization skills and attention to detail.
• Proficient in ICD10CM, CPT and HCPCS coding, policy and procedures based on physician practices.
• Ability to prioritize provider medical records reviews/projects and provider coding education opportunities with alignment with audits and overall trends.
• Ability to read and communicate in English; Bilingual preferred.
• Good communication and multi-tasking skills.
• Knowledge of computer applications for coding.
• Knowledge of medical terminology, anatomy and physiology.
• Knowledge and application of diagnostic and procedural coding.

POSITION ESSENTIAL FUNCTIONS:

Provider Educator

• Conducts audit of new provider records and charges after  60 days of hire.
• Conducts provider records and charge audit annually (more frequently as needed).
• Provide new hire training within EMR for all new providers.
• Provide all audit findings to the appropriate provider(s) for review.
• Attend monthly provider meetings for specific education presentations and/or as a resource for providers.

Coding

• Ensures accurate diagnostic coding assignment to include modifiers when applicable.
• Accuracy standards of 95°/o or greater.
• Accurately abstracting the coding data utilizing the coding software.

Productivity

• Maintains CVH coding productivity standards. Effectively coordinates scheduled daily activities to ensure productivity is met and work is completed in a timely manner.
• 25-30 per hour- out patient charts includes abstracting.        

Goals/Standards

• In collaboration with the Executive Director Physician Clinics, Director of Revenue Cycle and HIM Supervisor, supports the goals and objectives of the department related to coding quality and reimbursement levels.
• Possesses working knowledge of all regulatory standards that apply to coding activities and ensures practice meets standards.
• Assists in training coding staff and/or contract coders.
• Provides all requested education to clinical staff to include in depth coding training, provider meeting presentations, audits and on-going support.